IndividualActive
Alex Goldman, MAT, ATC
NPI 1760836852 · Athletic Trainer · Tifton, GA
Provider details
- NPI number
- 1760836852
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 002575 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
Approximate (ZIP-level) locationGet directions
Mailing address
901 18th St E
Tifton, GA 31794-3648
Registry dates
- Enumerated
- 2016-04-15
- Last updated
- 2016-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.